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General NPI Number Information
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NPI Number | 1700022191
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Entity Type | Organization
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Legal Business Name | LUDUMES, INC.
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 1621 E EDINGER AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-5001
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Country | US
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Telephone | 714-834-1357
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Fax | 714-834-1358
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Provider Business Mailing Address
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Address Line | 1621 E EDINGER AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-5001
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Country | US
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Telephone | 714-834-1357
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Fax | 714-834-1358
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Authorized Official
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Title or Position | PRSIDENT
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Name | BONIFACE TSOBNANG
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Credential |
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Telephone | 714-834-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 50293
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License Number State | CA
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